Management of Prior Knee Fusion

  • Alfred J. TriaEmail author
  • Dror PaleyEmail author


Fusion of the knee is a singularly difficult operation to accomplish. The indications are usually chronic infection after multiple previous total knee procedures, complicated traumatic injury to the knee leaving no significant surfaces for a replacement procedure, or a tumorous condition. On occasion, there may be an unusual case that is considered for conversion to total knee arthroplasty after a successful fusion. This presents one of the most difficult of all reconstructive procedures for the knee. Infection must be ruled out, the condition of the extensor mechanism must be evaluated, and the status of the skin must be clarified. There are a few papers in the literature that support this approach and report reasonable results.


Fusion Hinges Constrained knees Infection Revision Management of prior knee fusion 


  1. 1.
    Ulstrup AK, Folkmar K, Broeng L. Knee arthrodesis with the Sheffield external ring fixator: fusion in 6 of 10 consecutive patients. Acta Orthop. 2007;78(3):371–6.CrossRefPubMedGoogle Scholar
  2. 2.
    McQueen DA, Cooke FW, Hahn DL. Knee arthrodesis with the Wichita fusion nail: an outcome comparison. Clin Orthop Relat Res. 2006;446:132–9.CrossRefPubMedGoogle Scholar
  3. 3.
    Kuo AC, Meehan JP, Lee M. Knee fusion using dual platings with the locking compression plate. J Arthroplasty. 2005;20(6):772–6.CrossRefPubMedGoogle Scholar
  4. 4.
    Henkel TR, Boldt JG, Drobny TK, Munzinger UK. Total knee arthroplasty after formal knee fusion using unconstrained and semiconstrained components: a report of 7 cases. J Arthroplasty. 2001;16(6):768–76.CrossRefPubMedGoogle Scholar
  5. 5.
    Clemens D, Lereim P, Holm I, Reikerays O. Conversion of knee fusion to total arthroplasty: complications in 8 patients. Acta Orthop. 2005;76(3):370–4.PubMedGoogle Scholar
  6. 6.
    Paley D. Principles of deformity correction. Heidelberg: Springer; 2002. p. 563–7.CrossRefGoogle Scholar
  7. 7.
    Jauregui JJ, Buitrago CA, Pushilin SA, Browning BB, Mulchandani NB, Maheshwari AV. Conversion of a surgically arthrodesed knee to a total knee arthroplasty—is it worth it? A meta-analysis. J Arthroplasty. 2016;31(8):1736–41.CrossRefPubMedGoogle Scholar
  8. 8.
    Kernkamp WA, Verra WC, Pijls BG, Schoones JW, van der Linden HM, Nelissen RG. Conversion from knee arthrodesis to arthroplasty: systematic review. Int Orthop. 2016;40(10):2069–74.CrossRefPubMedGoogle Scholar
  9. 9.
    Conway JD, Mont MA, Bezwada HP. Arthrodesis of the knee. J Bone Joint Surg Am. 2004;86-A(4):835–48. Review.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Orthopedic Center of New JerseySomersetUSA
  2. 2.Paley Orthopedic and Spine Institute, St. Mary’s Medical CenterWest Palm BeachUSA

Personalised recommendations